<%@ page language="java" contentType="text/html; charset=ISO-8859-1"
    pageEncoding="ISO-8859-1"%>
<!DOCTYPE HTML>
<html>
<head>
<title>Add Client</title>
<script src="//ajax.googleapis.com/ajax/libs/jquery/1.8.1/jquery.min.js"></script>
<script src="//ajax.googleapis.com/ajax/libs/jqueryui/1.8.23/jquery-ui.min.js"></script>
</head>
<body>
<form id="ClientForm" name="ClientForm" method="POST" action="/BusinessClient">
<input id="ClientKey" name="ClientKey" type="text" readonly="readonly" value="${ClientKey}"/>
<label for="BusinessName">Business Name</label>:<input id="BusinessName" name="BusinessName" type="text" size="50" maxlength="500" value="${Client['BusinessName']}"/><br/>
<label for="LegalName">Legal Name</label>:<input id="LegalName" name="LegalName" type="text" size="50" maxlength="500" value="${Client['LegalName']}"/><br/>
<label for="ClientNumber">Client Number</label>:<input id="ClientNumber" name="ClientNumber" type="text" size="50" maxlength="500" value="${Client['ClientNumber']}"/><br/>
<label for="ExpiryDate">Expiry Date</label>:<input id="ExpiryDate" name="ExpiryDate" type="text" size="20" maxlength="20" value="${Client['ExpiryDate']}"/><br/>
<label for="RegisteredAddress">Registered Address</label>:<input id="RegisteredAddress" name="RegisteredAddress" type="text" size="50" maxlength="500" value="${Client['RegisteredAddress']}"/><br/>
<label for="BusinessAddress">Business Address</label>:<input id="BusinessAddress" name="BusinessAddress" type="text" size="50" maxlength="500" value="${Client['BusinessAddress']}"/><br/>
<label for="MailingAddress">Mailing Address</label>:<input id="MailingAddress" name="MailingAddress" type="text" size="50" maxlength="500" value="${Client['MailingAddress']}"/><br/>
<label for="ContactPerson">Contact Person</label>:<input id="ContactPerson" name="ContactPerson" type="text" size="50" maxlength="500" value="${Client['ContactPerson']}"/><br/>
<label for="BusinessPhone">Business Phone</label>:<input id="BusinessPhone" name="BusinessPhone" type="text" size="10" maxlength="12" value="${Client['BusinessPhone']}"/><br/>
<label for="CellPhone">Cell Phone</label>:<input id="CellPhone" name="CellPhone" type="text" size="10" maxlength="12" value="${Client['CellPhone']}"/><br/>
<label for="HomePhone">Home Phone</label>:<input id="HomePhone" name="HomePhone" type="text" size="10" maxlength="12" value="${Client['HomePhone']}"/><br/>
<label for="Fax">Fax</label>:<input id="Fax" name="Fax" type="text" size="10" maxlength="12" value="${Client['Fax']}"/><br/>
<label for="Email">Email</label>:<input id="Email" name="Email" type="text" size="30" maxlength="500" value="${Client['Email']}"/><br/>
<label for="NatureOfBusiness">Nature Of Business</label>:<select id="NatureOfBusiness" name="NatureOfBusiness">
<option value="Corporation">Corporation</option>
<option value="Partnership">Partnership</option>
<option value="Sole Proprietor">Sole Proprietor</option>
</select>
<br/>
<label for="Status">Fiscal Year End</label>:<input id="FiscalYearEnd" name="FiscalYearEnd" type="text" size="20" maxlength="20"/><br/>
<label for="Status">Status</label>:<select id="Status" name="Status">
<option value="Active">Active</option>
<option value="No longer our client">No longer our client</option>
</select><br/>
<label for="EffectiveDate">Effective Date</label>:<input id="EffectiveDate" name="EffectiveDate" type="text" size="20" maxlength="20"/><br/>
<label for="FormOne">Form One</label>:<input id="FormOne" name="FormOne" type="checkbox"/><br/>
<label for="HST">HST</label>:<input id="HST" name="HST" type="checkbox"/><br/>
<label for="Payroll">Payroll</label>:<input id="Payroll" name="Payroll" type="checkbox"/><br/>
<label for="Tax">Tax</label>:<input id="Tax" name="Tax" type="checkbox"/><br/>
<label for="ImportExport">Import/Export</label>:<input id="ImportExport" name="ImportExport" type="checkbox"/><br/>
<label for="BusinessNumber">Business Number</label>:<input id="BusinessNumber" name="BusinessNumber" type="text" size="30" maxlength="30"/><br/>
<label for="BusinessNumberConsent">Business Number Consent</label>:<input id="BusinessNumberConsent" name="BusinessNumberConsent" type="checkbox"/><br/>
<label for="WSIBNumber">WSIB Number</label>:<input id="WSIBNumber" name="WSIBNumber" type="text" size="30" maxlength="30"/><br/>
<label for="WSIBNumberConsent">WSIB Number Consent</label>:<input id="WSIBNumberConsent" name="WSIBNumberConsent" type="checkbox"/><br/>
<label for="EHTNumber">EHT Number</label>:<input id="EHTNumber" name="EHTNumber" type="text" size="30" maxlength="30"/><br/>
<label for="EHTNumberConsent">EHT Number Consent</label>:<input id="EHTNumberConsent" name="EHTNumberConsent" type="checkbox"/><br/>
<label for="PASID">PASID</label>:<input id="PASID" name="PASID" type="text" size="20" maxlength="20"/><br/>
<label for="TypeOfServices">Type Of Services</label>:<select id="TypeOfServices" name="TypeOfServices">
<option value="Monthly">Monthly</option>
<option value="Quarterly">Quarterly</option>
<option value="Annually">Annually</option>
</select><br/>
<label for="PickupDate">Pickup Date</label>:<input id="PickupDate" name="PickupDate" type="text" size="20" maxlength="20"/><br/>
</form>
<input id="SaveClientButton" name="SaveClientButton" type="Submit" form="ClientForm" value="Save"/><hr/>
<label for="CreatedDate">Created Date</label>:<input id="CreatedDate" name="CreatedDate" type="text" size="20" maxlength="20" readonly="readonly"/><br/>
<label for="CreatdBy">Created By</label>:<input id="CreatdBy" name="CreatdBy" type="text" size="20" maxlength="20" readonly="readonly"/><br/>
<label for="LastModifiedDate">Last Modified Date</label>:<input id="LastModifiedDate" name="LastModifiedDate" type="text" size="20" maxlength="20" readonly="readonly"/><br/>
<label for="LastModifiedBy">Last Modified By</label>:<input id="LastModifiedBy" name="LastModifiedBy" type="text" size="20" maxlength="20" readonly="readonly"/><br/>
</body>
</html>